Sacroiliac joint dysfunction

The sacroiliac joint, which is known as the SIJ, is an important joint connecting the sacrum (tail bone) to both pelvic bones and transfers loads from upper body to lower body.

SIJ dysfunction is usually caused by abnormal or aggressive movements. SIJ dysfunction is a general term for any kind of sacroiliac problem such as SJJ hypo-mobility(stiffness), SIJ hyper-mobility(too much movement), SIJ inflammation or SIJ strain.


  1. Pregnancy- loosening of the ligaments

  2. Weakness of the core and pelvic floor muscles

  3. Weakened, injured, or sprained ligaments

  4. Repetitive stress to the SIJ and related structures- common in people with leg-length discrepancies, scoliosis, a history of polio, poor-quality footwear, and hip osteoarthritis.

  5. Traumatic accident


Signs and Symptoms:

  1. Pain and discomfort at the lower back usually worse on one side

  2. Buttocks pain, leg pain to the back of the knee, groin pain, hip pain

  3. Transient numbness, prickling, or tingling in buttocks or legs down to the back of the knee

Symptoms worsen in prolonged position (sitting, standing) or in bending forward, stair climbing and rising from a seated position.


The physiotherapist usually performs some physical examinations and tests to make sure the pain is from SIJ so no misdiagnosis is given such as such as piriformis syndrome or other spinal problems.


Physiotherapy can be very helpful. Pain in the SIJ is often related to either too much motion or not enough motion in the joint. After treatment to the affected muscles and joints, your physiotherapist will teach various stretching or stabilizing exercises that can help reduce the pain and keep it away. A sacroiliac belt is a device that wraps around the hips to help stabilize the SI joints.

Physio Savvy usually applies various manipulation and mobilization techniques to correct the SIJ misalignment and mobilize the stiff joint- some techniques are comparable to a chiropractor. After that the tight muscles will be released by some releasing techniques such as trigger point release and positional release technique. A very effective and form of exercise is Clinical Pilates- brought in from Australia to Malaysia by Physio Savvy for management of this disorder. Have a chat to one of our physiotherapists to see if we can help you!

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Parisa Tanoori

Parisa Tanoori

Physiotherapist at Physio Savvy
Parisa is certified with a Bachelor of Science in Physiotherapy from Shiraz University of Medical Science, Iran. She is currently completing her PhD in Sports Medicine with the special interest of Kinesiology taping in Universiti Malaya.
Parisa Tanoori

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Posted in Musculoskeletal Disorders.